A Community-Level Digital Health Readiness Index for the US
JAMA Network Open 10.1001/jamanetworkopen.2026.19372June 18, 2026 at 11:00 AM EDT
Can a census tract-level Digital Health Index (DHI), developed from public data, quantify community readiness for digital care beyond existing indices?In this cross-sectional study of 85 396 US census tracts, the DHI (21 socioeconomic, health care access, and digital connectivity indicators) was strongly correlated with established indices (ie, Social Vulnerability Index, Area Deprivation Index, and Digital Divide Index). However, the DHI prioritized different communities as having the lowest digital health readiness, with only 33% to 44% overlap among highest-decile tracts compared with comparator indices.This study found that the DHI provides a tract-level measure of digital health readiness to enable targeted support and to monitor health accessibility as digital health scales.
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